If you have a mental illness do you tell your boss?
Are you obliged to tell your boss? Why or why not?
With discrimination rife in society and difficulty getting friends and family to understand what you are going through, what are your greatest fears in the workplace? Or the study environment? Or wherever it is you spend most of your productive time?
Does your illness affect your ability to do your job at times? In what ways?
Does your boss know? Do any of your colleagues? What led to them finding out?
Whether you are studying or working always consider ahead of time whether you are prepared to disclose your illness. If your current position is non-disclosure, consider carefully any occasions which might arise which might make it more necessary and under what circumstances you may disclose if at all.
Disclosure is always best done in a planned manner. You should have some idea what you are going to say, how you want to say it and how you are going to explain its relevance to your work. If you need some adjustments to your work conditions or some time off, it is best for you to come to your boss with some options that you have considered and reasons for your request. You need your boss to understand that you wish to be healthy and productive as possible and are trusting them so that they are able to best support you to reach a goal that is in both of your best interests. A large proportion of ‘Western’ countries, including Australia, provide legislation to support your right to this.
When you plan what to disclose think in terms of how you are affected by your mental illness more than your diagnosis. You may, in fact decide to disclose only the effects of your illness and not your diagnosis, stating that you have “a condition that affects …”. You may identify symptoms or you may simply describe what it does to you and how that affects your work eg my condition means that I have less energy than I used to have. This means that I have to be careful how I plan my time and that I have to take holidays at regular intervals throughout the year to maintain stable health. I need to be careful to use my meal breaks and leave on time so that I don’t become over-tired. Or my condition means that I need to take medication. When I change medications, sometimes I am more sleepy than usual and over-sleep or become very drowsy in the afternoons. Sometimes my speech even gets slurred and I sound a little intoxicated. So if I’m changing medications I need to take a week off, otherwise I find that I’m coming to work late all week and I sound as though I’m tipsy for half the afternoon and I don’t get much done and am at risk of making faulty decisions or overlooking things because my head is all foggy – especially in the first few days. After that I will be fine at work again, but might over-sleep a couple of times in the 2-3 weeks afterwards while my body gets used to the new meds. It doesn’t happen very often. I’ve only needed to do it 2 or 3 times, but each time I’ve been glad that I did.
You do not need to disclose specify personal or medical information if you tell them about anything at all.
You should also think about when to disclose. That is – when you are applying for a job, before a job interview, during the interview, after you have been offered the job and before starting, during the time you are employed after you have worked there for a while, if you become unwell and need to or never. There are pros and cons of disclosing at each point of the way. Sometimes your circumstances will have presented you with little choice to prevent awkwardness – you may have become unwell at work and have it become obvious that something was wrong or you may have symptoms that you are aware will soon become obvious if arrangements aren’t made to cater for your needs. Again, despite prejudice and stigma in some places you have legal rights to have your needs and confidentiality met and protected within your workplace in most western countries. Further, in Australia at least, if you become unwell because the employer failed to attend to your needs having been made aware of them, you are entitled to compensation under work cover. It is however, worth serious consideration whether or not you are going to disclose because unfortunately discrimination does still happen and there are people who do fail to respect privacy and you never know where they are until you find them.
Some helpful things to consider at each stage of the employment continuum.
Prior to interview
Why you might …
- You are able to to discuss the organisations policies and support resources when exploring the prospective position
- You are able to get an idea about your employer’s predisposition to your needs from the word go.
- If you have restrictions on any key job criteria due to temporary limitations because of recent relapse/graded hours return to work plans.
Examples of Why you might not …
- Risk of discrimination influencing whether or not you get an interview.
- No work related needs arising from your mental illness.
- You don’t believe that they need to know/believe it irrelevant to job.
At the job interview
Why you might …
- You are able to address people after creating a positive impression of yourself and demonstrating your capability.
- You can gauge their understanding of your meaning and clarify appropriate questions about your needs.
- You are able to discuss with the employer positive traits that you bring to the team that you have learned through your journey of recovery.
- You are able to discuss your needs and what your potential employer would be able to accommodate or explore during the interview process.
- You can brief them as to whether your referees are aware of your condition and how it affects your work and offer consent to discuss previous workplace arrangements with other employers if they have gone well.
Why you might not …
- Risk of discrimination in job selection.
- You don’t feel that you have needs that require accommodating or can manage them without support from your employer.
- You might worry about where information gathered by panel members will go and whether people are trustworthy to maintain your privacy.
- Concern that even if you get this job, opportunities for advancement could be limited by poor understanding of your illness.
- You might be well and consider it unnecessary at this point in time.
- You might not want to distract the panel from thinking about your abilities by talking about areas of need.
When contacted with an offer of employment
Why you might …
- You are able to discuss your needs without risk of missing out on the job due to discrimination.
- You can arrange to enter the work place with a plan in place that accommodates your employment needs and commence as you mean to continue.
- If required and with your consent, the employer can arrange appropriate mental health sensitivity workshops for managers or staff by organisations such as Beyond Blue or circulate general anti-stigma/population health information among routine organisation circulars, yet not make it obvious that it was for your benefit.
- Allow development of appropriate support and mentoring systems.
Why you might not …
- Fear of stigma, gossip and/or discrimination.
- Currently well and don’t feel that you are affected at work.
- Work does not need to know.
- Protection of positive image and opportunity for advancement.
During the course of your employment
Why you might …
- You decide that your employer is trustworthy.
- You become unwell.
- You encounter difficulties or are not performing to standard because of symptoms or medication side effects and need to offer reasonable explanation or require support, alternate work arrangements or time off for medication reviews etc.
- You are being harassed or bullied.
Why you might not …
- It might not be necessary.
- Protection of positive image and opportunities for advancement.
- It might result in harassment and discrimination.
- You are able to manage your needs without workplace support.
Why you might …
- Protection from gossip and discrimination.
- Protection of positive image and opportunity
- Stable health
- Lack of necessity
Why you might not …
- Difficult to prove entitlement to compensation in case of illness, relapse or deterioration due to failure of workplace to meet needs for psychological health if they were not disclosed.
- Relapse or need for hospitalisation might put your job at risk.
- Might discover a positive attitude to mental health issues within workplace.
- Legal obligations under occupational health and safety act where specific work related tasks are affected resulting in serious risk issues.
What did I do about disclosure to my employer with my job?
For me it was simple. I told mine. I disclosed at interview. I felt that this was necessary because I had taken my previous job without learning to manage my mental health well and my references would have reflected that in the answers to some of the standard questions that interviewers ask referees no matter how careful the referees were. I chose to take control of this situation at the time of my interview because having reached interview I could present myself as a competent individual in person, demonstrate that I was healthy and create a positive impression before and whilst disclosing. I also needed to disclose because I wanted to work less hours than the position entailed and needed to offer a good explanation. I told them that I had depression, how it affected me in terms of energy levels, concentration, seasonal patterns, medication changes and how I managed these things to be able to work. I spoke of arrangements that I had previously made with my former employer that had been helpful and asked if they would be amenable to such strategies. I also used the opportunity to tell them things that I had learned and accomplished through the experience of working, the determination and dedication that it entailed and the commitment to my job that resulted so that I could achieve personal satisfaction through working. In my case this had a positive effect and outcome, although it doesn’t always. I don’t disclose before I have the chance at interview to sit down and talk with the employer so that I can get a gauge on how they are reading what I am telling them and to avoid preconceived assumptions about what I will be like that are difficult to shift. There are always risks associated with disclosure, but my reasoning is that if they are going to discriminate when I am well, I would rather not have to deal with them if I were to relapse.
When I am in the workplace I lay low for a while and watch what goes on around me. As long as they are not untrustworthy, I tell someone if they are closely and directly affected by my health so that they are not left in the dark if I have to take leave at short notice. That’s usually only one or two people. Often they are among the first to notice that I am off my game, so it can work in my favour because when someone who I work closely with starts asking if I’m okay and comments that I’m not myself before I notice anything, it gives me a cue to step back and check my early warning signs and triggers. Over the course of years there have been a couple of people who have learned how to pick my good and bad days at least as well as I do myself and also to support and accommodate me through the bad ones and to lean on me in return when I’m good. I’m pretty limited in what I disclose to start with, but with proof of worthiness comes more trust.
My current situation in my new workplace is new to me. I have always had employers who were fiercely protective of my privacy before. I have little in the way of evidence about my current manager, only the report of one other worker about two specific occasions of breached privacy. I have, however worked in a place where it has been possible to work with my information kept private and so I am prepared to stand for my rights in both privacy and in workplace accommodation now. If I expect the respect of others, there may be times that I need to stand up and remind them what it entails. This is however new to me and the workplace is one with strange dynamics.
I have included in the Fact Sheets menu this week a document called “Choosing Your Path. Disclosure: It’s a Personal Decision“. It’s about disclosure of ‘disability’ (or illness) in education and training after High School and employment and the processes of application, entry and engaging in the roles. The booklet discusses legal issues, reasons why one may or may not disclose at various stages of training or employment, responsibilities and some of the considerations to ponder in making your decision. Also have a look around the Beyond Blue website as they have a number of resources for work sites and managers as well as fact sheets about telling your employer about your illness and maintaining good mental health for tertiary education students. Lastly, I have listed a book called “Tackling Depression at Work” in the Books menu. I’ve not yet read this one, but it was written by reliable people and has been well reviewed so should be worth a read. I have listed the book at the publisher’s site, you may or may not be able to find it cheaper elsewhere if it interests you greatly.
Great blog post, and of course, something of interest to Jobshop UK.
Taking everything you have said in I would just like to add that most places I have worked at ..no let me say all of the places I have worked at I have been hard put to find anyone, myself included who was not suffering from depression of one kind or another ..let alone any one who was sane!! I find it very sad that we have to decide whether to declare or not . xxxxxx
Having experienced some of my mental illness since birth or at least early childhood (I am not sure as I can’t remember a huge chunk of my early childhood). And having grown up in an age when mental health came with a huge stigma and a very real threat of exclusion or institutionalization, (Far more than today, not that today is as good as it should be) I can tell you that I spent most of my life trying to hide my mental health related issues.
Nowadays, I am far older and wiser. Additionally since I and indeed society’s attitudes have changed I don’t hide it very often or very much. “If you can’t accept me and my mental health for who we are then I figure you have an even greater problem and need more help than I do,” seems to be my approach nowadays.
BUT I recognize that my circumstances are different to most peoples. I can no longer work and indeed am not required (outside of my physical or mental health) to be dependent on others and so have very few of the pressures that some folk experience. So I too would recommend caution concerning who with and how you share information concerning your mental (and indeed your physical health).
Again great post.
Thanks Kevin, for sharing some of your experience. Unfortunately there still remain some who choose to discriminate, although you are right that by and large attitudes have improved in some areas with education. I do not envy you having come through the age where institutionalisation was such a very real threat.
All the best,
This is full of really good information. Thanks!
This is such an excellent post Jill. I’ll definitely bookmark it for future reference when applying to jobs.
The links are great too, James. Well worth a look.
This is a great post! I’m so glad that you presented this. Too many people struggle with disclosure of sensitive medical information and their boss. This comes at an ideal time for me.
My boss is a wonderful woman. She has a macro-management attitude (mostly) and a “don’t ask, don’t tell” policy. I told her I needed Thursday off; she told me she took me off the schedule. That’s it.
I didn’t want everyone at work to know why I was having surgery. If you drop the word “cancer” in any form, then people start treating you differently. They start handling you with the kid gloves and giving you sad looks.
More informed people know about HPV and cervical cancer’s link. HPV is considered an STD. Yes, that’s how it happened. But I’m not a loose woman. People don’t understand that it only takes one unfaithful partner, in what the other partner thought was a monogamous relationship, to contract this and spread it.
It’s not something I wanted to deal with from any angle. But now, I have to have special accomodations at work. I need use of the elevator for a few weeks because I can’t walk the stairs. I can’t run for any reason. I cannot lift and / or carry any more than 5 lbs. And worst, I cannot stand for long periods of time. I teach. I need to stand for maximum vigilance. I’ll need some extra help.
I’ve decided to keep it simple. I had gynocological surgery to remove precancerous cells. The healing process takes at least two weeks. At that point, I will have a medical release from my doctor if I am fit for the restrictions to be lifted. Until then, I need… I’ll keep you posted.
Easy. If she wants to read about it on her own, and make conclusions, then by all means. But I know my boss is a very professional woman. At the very least, she will keep this to herself. Well, she’ll share it with our boss so that I don’t look as if I’m violating protocol.
It sounds like you’ve made some really carefully considered choices, Luna. It’s great that your boss is so professional about the accommodations that you need within your workplace. It’s fantastic to hear of people respecting and protecting your privacy as well as ensuring that your professionalism is recognised.
I have been reading your blog and wonder if you might be interested in a guest post. I had depression and anxiety for over 20 years and spent years looking for a cure. I eventually found the cause of my depression and was able to cure it with natural remedies. The guest post is titled “How I Cured My Depression”.
I found so much good information along the way I decided to put it all together in a website, http://www.gethelpfordepression.info. The site contains questionnaires for 13 biochemical causes of depression, with an overview of each condition, the medical tests that are available, treatment options and, where possible, recommendations for finding a health care practitioner who knows about the condition.
If you are interested please contact me using the contact form at http://www.gethelpfordepression.info/ContactUs.aspx